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Bill Gates just described his biggest fear — and it could kill 33 million people in less than a year

You would think that Bill Gates, the ever-so-friendly richest man in the world, wouldn’t be afraid of much. But as he recently told Ezra Klein at Vox, he does have some major fears for humanity. “I rate the chance of a nuclear war within my lifetime as being fairly low,” says Gates. “I rate the chance of a widespread epidemic, far worse than Ebola, in my lifetime, as well over 50%.” Gates is 59 years old. So that means an outbreak of sorts is possibly coming in the next few decades. It’s especially terrifying, Gates says, given the way we reacted to the last epidemic: The Ebola outbreak of last year showed how unready the world is for dealing with infectious disease. The last widespread killer epidemic was the Spanish Flu. Between 1918 and 1919, it killed between 20 million and 40 million people worldwide — more than World War I.

What’s even more frightening, Gates says, is that we don’t even know where the Spanish Flu came from — it was just called the “Spanish Flu” because the press in Spain were the first to report on it. In many ways, we’re even more vulnerable to an infectious catastrophe today. Gates tells Vox that according to his modeling, 50 times more people cross borders today than they did back in 1918.Because of that and other factors, Gates estimates that the next Spanish flu-like epidemic could kill 33 million humans in 250 days. That number of people would be about equal to the population of Canada.“We’ve created, in terms of spread, the most dangerous environment that we’ve ever had in the history of mankind,” Gates tells Vox.Watch the entire video interview below and read the full feature story here.